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Arizona rates for HCPCS 99424

Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $73.75 / $100.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $75.56 / $75.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.38 / $83.58 / $146.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $62.29 / $77.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $85.21 / $142.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.33 / $71.09 / $124.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $107.47 / $512.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $86.76 / $161.47